Sunset Point Medical Center | |
208 Crystal Grove Blvd Lutz FL 33548-6460 | |
(813) 949-4991 | |
(813) 949-4986 |
Full Name | Sunset Point Medical Center |
---|---|
Speciality | Internal Medicine |
Location | 208 Crystal Grove Blvd, Lutz, Florida |
Authorized Official Name and Position | Kathariguppa Venkataram (DIRECTOR) |
Authorized Official Contact | 8139494991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sunset Point Medical Center 208 Crystal Grove Blvd Lutz FL 33548-6460 Ph: (813) 949-4991 | Sunset Point Medical Center 208 Crystal Grove Blvd Lutz FL 33548-6460 Ph: (813) 949-4991 |
NPI Number | 1053604827 |
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Provider Enumeration Date | 05/26/2011 |
Last Update Date | 12/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053604827 | NPI | - | NPPES |
260523600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME73717 (Florida) | Primary |
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